Changzhou transfer to which social security center

1. What you are dealing with should be the application for medical treatment in other places. The Social Security Bureau will have a special window. Because it is handled by the Social Security Bureau, other departments have no right to handle it, even if they have handled it, the Social Security Bureau will not recognize it. Let you choose a designated hospital is for your convenience when you work in other places. It involves medical reimbursement in the future, and it needs the official seal of the hospital. You can't predict what disease you will have in the future, so it's impossible to choose a department to seal. It's good for you to deal with it as soon as possible, otherwise it will be very troublesome for you to claim medical expenses first, and you may not be able to report it. There is also a medical insurance department in the hospital, so go and seal it there

2. Once where the payment on where the social security center print payment voucher, and seal
now social security centers all over the country have self-service printers, which are self-service printing
take your ID card and social security card to the local social security center to check the payment records and print the payment voucher.

3. Need to go to the local county-level and above hospitals to issue a referral certificate, sealed by the hospital social security window, and then go to the medical insurance center for registration and approval. During the period, the workers in the field must adhere to the principle of saving and prescribe drugs according to the prescribed limits. Once the treatment is taken, the dosage of the chronic medicine is within 10 days, and the tuberculosis, hypertension and diabetes can be extended to 30 days. The drug fee will not be reimbursed if the above standard is exceeded 3 days.
the referral of long-term resident workers should be signed by the local designated hospital, and the referral should be carried out step by step according to the territorial principle. The referral hospital is a special hospital determined by the medical insurance for employees in our city. The indivial first pays 10% of the total expenses, and then reimburses the expenses according to the medical insurance regulations; In other hospitals, the indivial first pays 20% of the total expenses, and then reimburses the medical expenses according to the medical insurance regulations
extended data
1
2. The insured person needs to seek medical treatment in nearby non designated medical institutions e to emergency rescue
3. Due to the limited conditions of designated medical institutions in the city, the insured must be transferred to non designated medical institutions in the city for medical treatment
4. Because the insured lives in another place or often lives in another place, they seek medical treatment in the medical institution where they live
source of reference: Sogou Network - reimbursement scope of medical insurance

4. The new rural cooperative medical insurance has a designated reimbursement hospital. Before hospitalization, you need to go to the village to issue a certificate and seal it, even if it is put on record, and then take these certificates to the hospital to indicate that it is the new rural cooperative medical insurance. If the hospital is unable to treat and has to go to a higher hospital for treatment, then the hospital has to issue a referral form. You have to go to the village for the record with this form, and the village can only refer to a higher hospital with the consent of the village, and the expenses can be reimbursed.

5.

You need to go to the local social security bureau

materials to be provided for medical insurance reimbursement in other places:

1. transfer certificate issued by the Municipal Hospital

2. take the transfer certificate issued by the hospital to the municipal and District Social Security Department (Medical Insurance Department) for examination and approval of medical treatment in other places for record

3. the original invoice of hospitalization in the designated hospital in other places

4. original machine taxi fee list

5. 1 of valid medical record (valid with hospital seal)

6. one of ID card

< / OL >

reimbursement proceres for medical treatment in other places:

1. take the patient's ID card, two one inch color photos and new rural cooperative medical certificate to the county cooperative medical management office for referral and filing

2. bring the patient's ID card, new rural cooperative medical certificate and referral filing proceres to the referral hospital for medical treatment, and go through the new rural cooperative medical hospitalization proceres

3. after discharge, the patient's ID card (or household register), new rural cooperative medical certificate, of medical record, hospitalization statement (some in the form of invoice), list of hospitalization expenses and referral filing proceres should be submitted to the cooperation management office for reimbursement

6. General rules are not allowed, if you know all the people in social security, you can accommodate.

7.

There is no need to go through the formalities

1. When transferring patients, the community health service institution should fill in the "two way referral form of community health service", indicating the initial diagnosis, which should be signed and sealed by the attending physician, and inform the staff in charge of the community by telephone, and then transfer after approval. When the critical patients are transferred to the hospital, they should be escorted by special personnel, and the patient's condition should be explained to the doctor, and relevant examination and treatment data should be provided

The two-way referral form is divided into stub column and referral column. When the patients are transferred to the hospital, they need to take the "community health service referral form" for treatment, and the stub column is retained by the transferred community

3. After receiving treatment, the hospital should carefully fill in the two-way referral registration form and arrange the referral patients to the corresponding ward or clinic in time

During the period of receiving patients referred by community health service institutions and carrying out corresponding diagnosis and treatment, professional doctors have the obligation to accept the consultation of community doctors and feed back the treatment of patients to community doctors

When the patient's diagnosis is clear, the condition is stable and enters the rehabilitation period, the professional doctors of the hospital should fill in the "two-way referral form of community health service", explain the diagnosis and treatment process, suggestions and precautions for continuing treatment, timely transfer the patient back to the community health service institution, and guide the treatment and rehabilitation according to the needs, and accept re referral if necessary

< H2 > extended data

after the diseases are distributed to the community, the medical expenses of minor diseases can be reced, and the idle medical resources of community hospitals will be improved; In large hospitals, the shortage of medical resources caused by the "pressure on the bed" of patients in the rehabilitation period will also be alleviated to a certain extent, and there will be no overcrowding in large hospitals e to serious diseases

in case of difficult and serious diseases, aggravation or complex changes of original diseases, the community people can obtain timely and effective guarantee through "Two-way Referral" to avoid delaying the diagnosis and treatment time

after the acute treatment is stable, the inpatients in large hospitals can be transferred to community hospitals for subsequent rehabilitation treatment, which not only saves medical expenses, but also creates treatment opportunities for other difficult and critical patients in urgent need of hospitalization. If large hospitals solve the problem of overcrowding, they can spare more time and energy to solve difficult and serious diseases

8. Hello: teachers belong to the establishment of institutions. The transfer procere is a professional technical document issued by the hospital. In areas where there is no remote medical treatment, in addition to the transfer procere of the hospital, patients must obtain the consent of the local social security bureau, otherwise the expenses of remote medical treatment cannot be reimbursed. What should I do? It is suggested that we take the requirement that hospitals must transfer to other hospitals and go directly to the medical insurance bureau. If there is a relationship, we can go directly to the director of the Bureau. If there is no relationship, we can go directly to the director of the Bureau. Or if we block the door of the director of the Bureau, they will agree. It is really not possible. We can coordinate with the Social Security Bureau through the school and Ecation Bureau.

9.

No, after handling the transfer certificate, you also need to handle the direct settlement of off-site medical treatment, so that you can directly settle the reimbursement when you go to see a doctor or stay in hospital. If you only open a transfer certificate, but you don't go to the medical insurance center to handle the settlement of medical treatment in other places, you can't apply for reimbursement directly in other places, and finally you need to apply for reimbursement locally

Take Yunnan as an example, because the medical insurance in each region is under the overall planning of the municipal government, that is, the municipal government controls it by itself, and the specific requirements or regulations are in accordance with the municipal regulations. Therefore, going to other places for hospitalization or treatment needs to be carried out in accordance with the municipal regulations. After all, the money is allocated by other people at the municipal level. Therefore, it is necessary to settle the settlement of medical treatment in different places in this region

for example, if Lijiang in Yunnan needs to see a doctor in Kunming, it is necessary to go to Lijiang first to apply for the transfer certificate, and then go to the medical insurance center with the transfer certificate to handle the settlement of medical treatment in other places, and also need to specify the hospital in Kunming

extended data:

1. Reporting standards for off-site medical treatment

1. Retired insured persons placed in different places

2

3

(2) application proceres for medical treatment in other places (1) after the insured has gone through the confirmation proceres for medical treatment in other places, they can seek medical treatment in the designated medical institutions in other places. The amount of his personal medical account can be withdrawn by any business outlet of his medical insurance card, which can be used for the expenses of general diseases in outpatient department and the expenses of purchasing and dispensing drugs in drugstores

1) front and back copies of medical insurance card

2) of confirmed application form for medical treatment in other places

3) the medical expenses of discharge or diagnosis certificate, which belong to specific outpatient items, should be attached with the of "gate application form" approved by the Municipal Medical Insurance Center (except for emergency observation)

4) detailed list of medical expenses

5) the official receipt of medical expenses (with the signature of the reimbursement person on the back)

2. When the insured person is suffering from an emergency ring business trip, study or visiting relatives in other places (excluding Hong Kong, Macao and Taiwan), they can go to the local public hospital for medical treatment, and the outpatient medical expenses are borne by the insured person; After the approved hospitalization expenses (including emergency observation treatment) are paid by the insured in cash, the unit operator shall apply for sporadic reimbursement at the municipal medical insurance center with the following information:

1) the insured's unit certificate

2) front and back copies of medical insurance card

3) discharge or diagnosis certificate

4) detailed list of medical expenses

5) medical expense invoice (with the name of the reimbursement person on the back)

6) copies of inpatient medical records

10.

Before or within 3 days after hospitalization, the hospitalized patients should be registered and put on record

after discharge, a residence certificate must be issued by the sub district office or the neighborhood committee in the place where they live. If they are migrant workers, they need to be issued by the migrant unit

after discharge, they returned to the participating place for reimbursement with the of medical record, summary list, hospitalization charge bill, discharge certificate, patient's ID card, cooperative medical certificate and residence or work certificate

if you are going to the hospital for chemotherapy outside the province directly from the participating place, you must go through the referral proceres before you leave, and then you can go to the other place for hospitalization

off-site medical treatment can be simply defined as the medical treatment behavior of the insured outside the insured area. Within the scope of social medical insurance, "off-site" generally refers to other domestic areas outside the overall planning area of the insured, while "medical treatment" refers to the medical treatment behavior of the insured

< H2 > extended data:

1. When the medical insurance agencies go through the approval proceres for transferring to other hospitals, if the symptoms of some insured persons can be seen in advance, they should first ask the insured persons to go to the agency to check their condition, conct pre audit, and then check with the discharge records, discharge certificates and expense list after discharge, If necessary, I can be asked to go to the medical insurance agency again to see the treatment effect

2. After the medical insurance agency receives the declaration, if the medical history is not clear, the current condition is questionable and it is difficult to verify after discharge, in order to prevent pseudonymous hospitalization or registered hospitalization, it directly sends staff to the hospital where they live for on-site audit, If necessary, digital photos can be taken and stored in the medical insurance computer management system for reference

3. When going through the approval proceres for transferring to other hospitals, the medical insurance agency can require the medical personnel who plan to carry out surgical treatment to go to the agency to check the operation after discharge, and then claim the expenses after on-site audit